{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T07:28:07Z","timestamp":1787124487982,"version":"build-2736575974"},"reference-count":27,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T00:00:00Z","timestamp":1770595200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"crossref","award":["82273412"],"award-info":[{"award-number":["82273412"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"crossref"}]},{"name":"National Key Research and Development Program of China","award":["2023YFB4706000"],"award-info":[{"award-number":["2023YFB4706000"]}]},{"name":"Beijing Natural Science Foundation","award":["L248017"],"award-info":[{"award-number":["L248017"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2026,5,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Robot-assisted nephrectomy and inferior vena cava (IVC) thrombectomy are technically demanding and high-risk procedures. The role of multidisciplinary team (MDT) management in robotic surgeries has not been reported previously. This study aimed to evaluate the safety and feasibility of MDT management in robot-assisted nephrectomy and IVC thrombectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>\n                      We retrospectively analyzed 209 patients who underwent robot-assisted nephrectomy and IVC thrombectomy for renal tumor with venous tumor thrombus (Mayo levels I\u2013IV) in our center between June 2013 and December 2023. Since July 2018, a proactive, comprehensive, and full-process MDT management framework has been implemented perioperatively. Patients were divided into MDT management (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 142) and non-MDT management (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 67) groups, with propensity score matching (1:1) resulting in 67 patients in each group. Multivariable regression, survival analyses, and interrupted time series analysis were conducted to assess perioperative outcomes and survival.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      All procedures were completed without conversion. MDT management significantly improved perioperative outcomes compared with the non-MDT group. Specifically, MDT reduced estimated blood loss (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.045), intraoperative blood transfusion (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.009), blood transfusion volume (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.005), postoperative intensive care unit stay (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.002), and postoperative hospital stay (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001). Multivariable regression confirmed that these improvements were independent of other factors. MDT management was associated with a significant improvement in overall survival (hazard ratio [HR] = 0.27,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.023) and a potential benefit in progression-free survival (HR = 0.40,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.065), as indicated by survival analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>MDT management in robot-assisted nephrectomy and IVC thrombectomy improves perioperative safety and enhances survival outcomes. This study highlights the critical role of the standardized MDT framework we proposed in optimizing high-risk robotic procedures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08927790261420551","type":"journal-article","created":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T08:37:17Z","timestamp":1770626237000},"page":"553-562","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Multidisciplinary Team Management Improves Safety and Survival in Robot-Assisted Nephrectomy and Inferior Vena Cava Thrombectomy: A Propensity Score-Matched Study"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4233-8005","authenticated-orcid":false,"given":"Jialong","family":"Song","sequence":"first","affiliation":[{"name":"School of Medicine, Nankai University, Tianjin, China."},{"name":"Senior Department of Urology, Chinese PLA General Hospital, Beijing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheng","family":"Peng","sequence":"additional","affiliation":[{"name":"Senior Department of Urology, Chinese PLA General Hospital, Beijing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Changwei","family":"Shi","sequence":"additional","affiliation":[{"name":"School of Medicine, Nankai University, Tianjin, China."},{"name":"Senior Department of Urology, Chinese PLA General Hospital, Beijing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qilong","family":"Jiao","sequence":"additional","affiliation":[{"name":"School of Medicine, Nankai University, Tianjin, China."},{"name":"Senior Department of Urology, Chinese PLA General Hospital, Beijing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yibo","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Medicine, Nankai University, Tianjin, China."},{"name":"Senior Department of Urology, Chinese PLA General Hospital, Beijing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuanyu","family":"Bai","sequence":"additional","affiliation":[{"name":"School of Medicine, Nankai University, Tianjin, China."},{"name":"Senior Department of Urology, Chinese PLA General Hospital, Beijing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinlin","family":"Peng","sequence":"additional","affiliation":[{"name":"School of Medicine, Nankai University, Tianjin, China."},{"name":"Senior Department of Urology, Chinese PLA General Hospital, Beijing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kan","family":"Liu","sequence":"additional","affiliation":[{"name":"Senior Department of Urology, Chinese PLA General Hospital, Beijing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhuo","family":"Jia","sequence":"additional","affiliation":[{"name":"Senior Department of Urology, Chinese PLA General Hospital, Beijing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinran","family":"Chen","sequence":"additional","affiliation":[{"name":"Senior Department of Urology, Chinese PLA General Hospital, Beijing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guodong","family":"Zhao","sequence":"additional","affiliation":[{"name":"Senior Department of Hepato-Pancreato-Biliary Surgery, Chinese PLA General Hospital, Beijing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, The First Medical Center, Chinese PLA General Hospital, Beijing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ren","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, The First Medical Center, Chinese PLA General Hospital, Beijing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maowei","family":"Gong","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, The First Medical Center, Chinese PLA General Hospital, Beijing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingsheng","family":"Lou","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, The First Medical Center, Chinese PLA General Hospital, Beijing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tao","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, The First Medical Center, Chinese PLA General Hospital, Beijing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haiyi","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Radiology, The First Medical Center, Chinese PLA General Hospital, Beijing, 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